Vascular Surgery
People with diabetes often have multiple problems because of reduced immunity to fight infections and uncontrolled diabetes(High sugars) often has significant effects on the body organs especially Heart, Eyes, Kidneys and feet.
In Feet, they may develop sores and infections more easily. If not treated in early stage, diabetes patients often develop either diabetic neuropathy or a foot ulcer which is unresponsive to treatment which later can get infected. In some cases, the surgeon must amputate (remove) a toe, foot or part of the leg to prevent the spread of infection.
Foot problems often occur in people with uncontrolled diabetes and associated with some of these problems parallelly-
Diabetic Neuropathy
Diabetic Foot Ulcers
A vascular surgeon recommends few tests to determine the best surgical option for you depending on the severity of the ulcer and associated foot changes. Some of the tests include
Debridement - It is a procedure that involves the removal of the necrotic tissue from the ulcer followed by regular dressings with antiseptic solutions to facilitate healing.
Reconstructive Foot & Ankle Surgery- This method is performed by a Vascular surgeon precisely to reconstruct the affected area
There are different types of reconstruction techniques used by a vascular surgeon for diabetic foot ulcer treatment like arthroplasty, osteotomies , tendon repairs, amputations based on patients condition and disease severity.
People with diabetes also can develop Charcots foot, in which nerve damage weakens the bones and joints which can cause permanent deformity. In this deformity, the bones can fracture easily, and the joints can dislocate.
Very high risk for ulcers and Infections.
The chance that a person with diabetes will develop a foot condition at some time in their life is about 15%.
Long-term high blood sugar can cause a type of nerve damage called diabetes-related neuropathy. Diabetes-related neuropathy can occur throughout the body, but most often in the legs and feet.
The condition might make you lose feeling in your feet. If your feet are numb, you might not notice a blister, cut or sore. You might not even feel a pebble in your sock that is cutting your foot, for example. Wounds that go unnoticed and untreated can become infected.
People with diabetes also can develop Charcot foot , a rare complication that can cause permanent deformity. In Charcot foot, nerve damage weakens the bones and joints. The bones can break, and the joints can dislocate or collapse.
Two types of ulcers can affect your feet and toes:
No, foot ulcers aren’t like other foot conditions that might be passed from person to person (contagious). You can’t spread a foot or toe ulcer to or catch it from someone else.
It might take 1-3 months for an ulcer to heal (with treatment).
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